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Mandated Benefits in Private Insurance
Emergency Contraception
Refusal Policies For Health Services
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States That Allow Institutions to Refuse Women's Health Services, as of January 1, 2010

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 State Allows Institutions to Refuse ServicesAbortionContraceptionSterilization
United States44 Yes43 Yes9 Yes15 Yes
AlabamaNoNANANA
AlaskaYesYes1NoNo
ArizonaYesYes2No3No
ArkansasYesYesYes1,4Yes
CaliforniaYesYes5NoNo
ColoradoYesYesYes1,4No
ConnecticutNoNANANA
DelawareYesYesNoNo
District of ColumbiaNoNANANA
FloridaYesYesNoNo
GeorgiaYesYesNoYes
HawaiiYesYesNoNo
IdahoYesYesNoYes
IllinoisYesYes1Yes6Yes
IndianaYesYes1NoNo
IowaYesYes1NoNo
KansasYesYesNoYes
KentuckyYesYesNoNo
LouisianaYesYesNoNo
MaineYesYesYes1,4No
MarylandYesYesNoYes
MassachusettsYesYesYes1Yes1
MichiganYesYesNoNo
MinnesotaYesYes1NoNo
MississippiYesYesYesYes
MissouriYesYesNoNo
MontanaYesYes1NoYes1
NebraskaYesYesNoNo
NevadaYesYes1NoNo
New HampshireNoNANANA
New JerseyYesYes1Yes1,7Yes1
New MexicoYesYesNoYes
New YorkNoNANANA
North CarolinaYesYesNoNo
North DakotaYesYesNoNo
OhioYesYesNoNo
OklahomaYesYesNoNo
OregonYesYes1NoNo
PennsylvaniaYesYes1NoYes1
Rhode IslandNoNANANA
South CarolinaYesYes1NoNo
South DakotaYesYesNoNo
TennesseeYesYesYes1,4No
TexasYesYes1NoNo
UtahYesYes1NoNo
VermontNoNANANA
VirginiaYesYesNoNo
WashingtonYesYesYes8Yes
West VirginiaYesNoNoYes
WisconsinYesYesNo6Yes
WyomingYesYes1NoNo
(show/hide notes)
Notes: 

Data as of January 1, 2010
Refusal clauses may apply to one or a combination of the following: individual health care providers, pharmacists, health care facilities, and/or insurers, which may potentially include employers.

Sources: 

Refusing to Provide Health Services, State Policies in Brief, as of January 1, 2010, Guttmacher Institute. Available at http://www.guttmacher.org/statecenter/spibs/spib_RPHS.pdf.

Definitions: 

NA: Not applicable.

Footnotes: 
  1. Exemption limited to private entities.
  2. An expansion of the state's abortion refusal clause is temporarily enjoined pending the outcome of litigation; the prior law is in effect.
  3. Temporarily enjoined; law not in effect pending the outcome of litigation.
  4. A broadly worded refusal clause may apply to pharmacies.
  5. Exemption limited to religious entities.
  6. State law requires pharmacies to fill valid contraceptive prescriptions.
  7. Pharmacies have a duty to fill valid prescriptions.
  8. The policy in Washington that requires pharmacies dispense valid prescriptions and deliver FDA-approved drugs, such as Plan B, is not in effect pending the outcome of a court case.



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